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Job Information Humana Medicaid Associate Director, Compliance Nursing in Aberdeen South ... South Dakota Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
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Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, and executes physician, ... hospital, and/or other provider behavioral health contracts for an organization that ... for an organization that provides..
Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, ... hospital, and/or other provider behavioral health contracts for an organization that ... an organization that provides..
Description The Medical Director relies on medical background and ... on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The..
Job Information Humana Director of Public Policy in Aberdeen ... Aberdeen South Dakota Description The Director of Public Policy role resides ... not limited to, Medicare Advantage, health IT, interoperability,..
Description The Director, Pharmacy Clinical Formulary and Medical ... lines of business (Medicare, Commercial, Medicaid). This position will work and ... the formulary strategies. Responsibilities The Director, Pharmacy Clinical Formulary..
Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) in Aberdeen South Dakota Description ... Aberdeen South Dakota Description The Director, Behavioral Health (BH) Network and Market Strategy..
Description The Medical Director actively uses their medical background, ... to make determinations whether requested services, requested level of care, and/or ... daily work. Responsibilities The Medical Director's work includes..
Description The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... medicine and social determinants of health. Responsibilities The..
... a company focused on the health and well-being of the people ... use for Humana's 8M Medicare, Medicaid and Pharmacy members Simplify and ... personalized medication list, and manage..
Job Information Humana Director, Medicaid Strategic Solutions in Aberdeen South ... Aberdeen South Dakota Description Humana Medicaid is seeking exceptional candidates to ... exceptional candidates to join our Medicaid Product..
Description The Lead Behavioral Health Medical Director oversees the work of 2 ... reviews themselves. The Lead Behavioral Health Medical Director may also lead specific functional ... Directors. Responsibilities The..
Job Information Humana Director, Behavioral Health Strategy in Aberdeen South Dakota ... Aberdeen South Dakota Description The Director, Behavioral Health (DBH) will ensure that populations ... quality care for their..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... reviews for inpatient and outpatient services to ensure that members receive ... clinically appropriate and medically necessary services...
... Horizons is seeking a Medical Director to help develop and execute ... the Vice President and CMO Medicaid. Responsibilities Medical Directors actively use ... to make determinations on requested..
Job Information Humana Medical Director - S. Florida in Aberdeen ... South Dakota Description The Medical Director relies on medical background and ... on medical background and reviews health claims...
... and Risk Adjustment National Medical Director in Aberdeen South Dakota Description ... and Risk Adjustment National Medical Director leads key strategic and operational ... managed care industry including Medicare,..
Job Information Humana UM Medical Director - Conviva in Aberdeen South ... South Dakota Description The Medical Director relies on medical background and ... on medical background and reviews health..
